Using sample administrative and clinical protocols that any hospital can use, this book gives a detailed account of how to set up and run an observation unit and reviews all medical conditions in which observation medicine may be beneficial. In addition to clinical topics such as improving patient outcomes and avoiding readmissions, it also includes practical topics such as design, staffing, and daily operations; fiscal aspects, such as coding, billing, and reimbursement; regulatory concerns, such as aligning case management and utilization review with observation; nursing considerations; and more. The future of observation medicine, and how it can help solve the healthcare crisis from costs to access, is also discussed. Although based on US practices, this book is also applicable to an international audience, and contains instructions for implementing observation in any setting or locale and in any type of hospital or other appropriate facility.

This book will provide a comprehensive discussion of groundwater sustainability, including what it is, how its definition has changed over time, why traditional assessments of it are wrong, how assessments of it are ideally multidisciplinary efforts recognizing that policy is more controlling of outcomes than science, and why achieving it is difficult once pumping exceeds sustainable levels of pumping. The book will provide a nontechnical background of hydrogeology relevant to groundwater sustainability and present several case studies from around the United States and the world. The book has been designed to appeal to academics, students, and practitioners. Academics, particularly those just getting into the subject, will find the book a useful entry in terms of management concepts and political realities of attempting to achieve groundwater sustainability. It will also be useful to academics in that the book will include discussions on the history and development of groundwater sustainability and the practical aspects of aspiring to and achieving sustainable production. Although not a textbook, the book could be used as the basis for teaching a course or as a supplement to a hydrogeology or groundwater management class. Accordingly, the book will include questions and additional reading materials at the end of each chapter. This book will also be useful to practitioners through non-technical explanations of the sciences, discussions of the nuances of defining sustainability in aquifers, and the presentation of case studies where sustainable management has failed and succeeded.

This project had its beginnings in the Fall of 1980. At that time Robert Wagner suggested that I investigate compiler optimi zation of data organization, suitable for use in a parallel or vector machine environment. We developed a scheme in which the compiler, having knowledge of the machine's access patterns, does a global analysis of a program's operations, and automatically determines optimum organization for the data. For example, for certain architectures and certain operations, large improvements in performance can be attained by storing a matrix in row major order. However a subsequent operation may require the matrix in column major order. A determination must be made whether or not it is the best solution globally to store the matrix in row order, column order, or even have two copies of it, each organized differently. We have developed two algorithms for making this determination. The technique shows promise in a vector machine environ ment, particularly if memory interleaving is used. Supercomputers such as the Cray, the CDC Cyber 205, the IBM 3090, as well as superminis such as the Convex are possible environments for implementation."